World Blessings Secure Online Donation Membership Form


Home \| Newest \| Contact Us \| RSS Feed \| Tell a Friend \| Translate \| Syndicate \| Search \| Member Area

World Blessings Secure Donation Membership Form

Thank you for donating to World Blessings! We are grateful for your support. Your privacy is a sacred trust which we hold in the highest respect. The personal information requested below is used to process your credit card, which is done with secure encryption.

This form will allow you to offer a one time or monthly membership donation. If you prefer, you may instead offer a customized donation via PayPal. If you wish to become a member but are not able to offer a donation, please use our complimentary membership form. We never reveal, share, or sell member information. For complete details see our Privacy Statement.

Member Information

* = Required - Must match credit card donation address

First Name [ required ]
Last Name [ required ]
Company
Address Line 1[ required ]
Address Line 2
City [ required ]
State [ US & Canada ]
State/Province [ All other Countries ]
Zip/Postal Code [ required ]
Country [ required ]
Your E-mail Address [ required ]
Phone or Fax Number [ required ]

Donation Options

Please choose the donation option that is most appropriate for you, remembering that there are others who cannot afford to offer anything at all, and that if possible, your larger donation will help these others partake of the community's resources as well. If you are unable to make a donation at this time, you may still become a member using our complimentary membership. You may also offer a customized donation using PayPal.
ONE TIME DONATION: A three month, one time membership
	$15 one time donation $25 one time donation $50 one time donation $100 one time donation


MONTHLY DONATION: A monthly recurring membership
	$5 monthly donation $10 monthly donation $15 monthly donation $20 monthly donation (Note: For monthly donations, your credit card will be charged each month. You may cancel your membership at anytime.)


Choose LOGIN Name [ required ]

Choose PASSWORD [ required ]at least six characters long, using alphas and numbers, no spaces.

Confirm PASSWORD [ required ]

Payment Information

Payment Method [ required ]
Credit Card Number [ required ]
Credit Card Security Code [ required on (MC/Visa) ? ]
Expiration Date [ required ]	/
Name on Credit Card [ required ]
Is this a Renewal?
Do you wish to receive email alerts?
Referrer Code [ optional ]
<<< Please Check The Box to acknowledge that you have read and understood our terms of use.

Please note: We appreciate your donations. Though we are working toward non-profit status with the IRS, your donations are not yet tax-deductible, and are not refundable.


NOTE: It can take up to a minute to process the credit card information and obtain approval. Please do not press the submit button multiple times - doing so could cause double billing.
For the protection and privacy of our visitors and members, as well as the security of the server, suspicious activities on our site are monitored, tracked and reported.

Credit Card Processing